By Philip Katz MD
Dr. Philip Katz has designed this detailed reference, which bargains specialist suggestion, personal tastes, and critiques on difficult scientific questions more often than not linked to GERD. the original Q&A layout offers easy access to present details relating to GERD with the simplicity of a talk among colleagues. a variety of photographs, diagrams, and references are integrated to augment the textual content and to demonstrate the remedy of GERD patients.
Curbside session in GERD: forty nine scientific Questions offers info uncomplicated adequate for citizens whereas additionally incorporating specialist recommendation that even high-volume clinicians will savour. Gastroenterologists, fellows and citizens in education, surgical attendings, and surgical citizens will enjoy the uncomplicated and informal structure and the professional suggestion contained within.
Some of the questions which are answered:
• Can scientific treatment adjust the ordinary historical past of Barrett’s esophagus?
• Can antireflux surgical procedure modify the typical historical past of Barrett’s esophagus?
• How does being pregnant have an effect on GERD? Is GERD in being pregnant a probability for long term reflux?
• what's the organization of weight problems and GERD?
• What are the so-called extraesophageal manifestations of GERD?
• Is there a gender distinction in reflux ailment? Does this have an effect on treatment?
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Additional resources for Curbside Consultation in GERD: 49 Clinical Questions
Esophageal reflux testing. Am J Gastroenterol. 2007;102(3):668-685. Tutuian R, Mainie I, Agrawal A, et al. Nonacid reflux in patients with chronic cough on acid-suppressive therapy. Chest. 2006;130(2):386-391. 9 QUESTION WHAT IS THE ROLE OF DIETARY MODIFICATION IN THE MANAGEMENT OF PATIENTS WITH REFLUX? Throughout “history” many have felt that GERD is a lifestyle disease under patients’ control. As such, numerous dietary and lifestyle modifications continue to be advocated as important in therapy of GERD and sometimes aggressively “pushed” on patients (Table 9-1).
Use of symptom correlation recommended for selected symptoms that include chest pain. Use of symptom correlation in the evaluation of chronic laryngeal symptoms, asthma, and cough is of unproven benefit. c. Routine proximal or intragastric pH monitoring not recommended. (continued) case we use the 48-hour Bravo capsule for testing. Ultimately, a thorough evaluation of the GERD patient may require impedance/pH monitoring on therapy and 48-hour Bravo off therapy to satisfy the patient and referring physician as to the diagnosis.
Physicians sometimes make different recommendations for lifestyle modifications in different patient populations. Patients with newly diagnosed GERD were asked questions about 7 common lifestyle modifications physicians could have recommended. For 5 of these modifications, less than 50% of patients reported their health care providers had recommended them. 047). 001). Lifestyle changes to counter GERD symptoms are rather precise, involving specific foods, beverages, and sleeping positions. For many patients, changing their diet by giving up orange juice, coffee, carbonated beverages, Dietary Modification 35 Table 9-3 Recommendations Based on Results of a Review of Studies Involving Lifestyle Modifications Lifestyle Strength of Pathophysiologically Recommendable?
Curbside Consultation in GERD: 49 Clinical Questions by Philip Katz MD